Professor Jin Shi's Differentiation and Treatment of Palindromic Rheumatism Based on the Theory of Collateral Disease
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摘要: 介绍了金实教授基于络病理论辨治回纹型风湿症的经验。回纹型风湿症发病多与先天禀赋不足,后天饮食不当、久病体虚有关。脾胃气血亏虚,肝肾精髓虚损,络脉失养,风夹诸邪乘虚侵袭络脉为其主要病机。治疗上主张运用络病理论指导分期论治。提出急性期应祛风通络,注重清热利湿,佐以虫类药搜风通络;缓解期宜补气健脾,养血和络;补肾养肝,填精充络。Abstract: The experience of Prof. Jin Shi in identifying and treating recurrent rheumatism based on the theory of collateral diseases is presented. The development of palindromic rheumatism is mostly related to congenital deficiency of endowment, improper diet, and deficiency of body after prolonged illness. Its main pathogenesis of rheumatism is the deficiency of qi and blood in the spleen and stomach, the impairment of essence in the liver and kidney, combined with the loss of nourishment in the collaterals, which leads to the invasion of the collaterals by pathogenic wind mingled with other pathogens. Thus, treatment is guided by the theory of collateral diseases. In the acute stage, we propose to dispel the wind and unblock collaterals, and pay attention to clearing heat and draining dampness by applying worm medicine. In the remission period, it is advisable to tonify qi and strengthen the spleen, nourish blood and collaterals, tonify the kidney and liver, and nourish the collaterals with essence.
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